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  • Summary of Responses Regarding Whiplash Injury

    Dear BIOMECH-L Netters:

    Here is a summary of the responses I had received regarding my request
    for information on whiplash injury. It was extremely helpful and I would
    like to say "THANK YOU!" to everyone who had responded with information,
    references, suggestions, resources, leads, and even names of individuals to
    contact (who are experts in the area).

    I have edited out the extraneous header information and personal
    comments. The original request and summary of responses are as follows.

    -----------------------------------------------------------------------

    I have been asked to be a possible expert witness in a lawsuit involving
    a whiplash inury due to a low impact car crash. Before making any kind
    of a decision to be involved, I need more information (since I have not
    done this before).

    I know I am not the first biomechanist to be asked to be an expert
    witness and I know I will not be the last. I will post any responses I
    receive (unless the responder requests anonymity), and hopefully it will
    help someone else out there who may be asked to be an expert witness.

    Here is the scenario.

    A girl in a small car exits a freeway, stops at a light, is rear ended
    by a truck, and claims to have whiplash injury. The medical report
    substantiates the whiplash injury, but there is no bumper damage to either
    vehicle.

    Any opinions regarding this scenario is welcomed.

    I know I will need information regarding the mass of the truck and car,
    the velocity of the truck at impact, the velocities of the vehicles after
    impact, the transfer of momentum, the coefficient of friction, etc. But
    I need additional information that I don't have (and not sure where to
    best locate it efficiently)

    1. Are there any studies out there involving low impact crashes?
    2. Is there any information out there on the types of speed of crashes
    into stationary objects that could cause a whiplash injury?
    3. What is generally the contact time ofthe vehicles (into each other)
    in collisions of this sort?
    4. What kinds of G forces or accelerative forces occur to the car that
    is being struck from the rear?
    5. What kinds of forces is needed to accelerate the head back to cause a
    whiplash injury?
    6. What kinds of data is available on bumper damage at low impact speeds
    and what is the possibility and probability of whiplash injury without
    any bumper damage (especially with very well designed bumpers)?
    7. What kinds of accelerative (or decelerative) forces have been
    measured and recorded on crash dummies during low impact speeds?
    8. What kinds of accelerative forces can the neck flexors and extensors
    withstand and still stabilize the head when expecting an impact and when
    not expecting one?
    9. What is the most expedient and efficient way one would go about
    determining whether it is possible to get a whiplash injury from a
    low impact crash of this nature?

    I do not believe in "re-inventing the wheel" if there are experts out
    there (and I am sure there are) who can provide me with this information
    (or at least provide leads and/or references).

    Any suggestions, opinions, insights, leads, references, discussion,
    input, and comments that would provide me with information and guidance
    regarding this matter would be greatly appreciated (and of course, I will
    post any responses I receive)

    ************************************************** ********************
    * *
    * Danny Too, Ph.D. Phone: (702)-895-4875 *
    * University of Nevada Las Vegas Fax: (702)-895-4231 *
    * 4505 Maryland Parkway E-mail: dtoo@nevada.edu *
    * Las Vegas, NV 89154-3034 *
    * *
    ************************************************** ********************


    ------------------------------------------------------------------------
    Djdalton@aol.com

    I met a guy last year who works at Wayne State
    University Biomechanics Lab in Michigan. His name is Tim Walilko and his
    e-mail address is: walilko@ssb.eng.wayne.edu
    I haven't talked to him in a while, but I assume he still works there. The
    lab there does impact studies (for GM I believe), so Tim or someone there may
    be able to help you.

    I believe that Dr. Dick Nelson (Penn State) was
    planning on putting together a list of people involved in court cases such as
    what you're getting involved in, so you may look to him as a source for help.
    ... anyway, there was a session at the last ACSM conference about expert
    witnessing.

    Again, good luck.
    Donna Dalton
    djdalton@aol.com

    ------------------------------------------------------------------------
    From: jives@camel.campbell.edu (Jeff Ives)

    Danny,

    Although I do not have any specific information, I do have a
    potential contact for you. his name is Bob Andres, an
    ergonomist/biomechanist who has done some work as an
    expert witness, etc. I am not sure of his present address,
    but he was an adjunct professor at U Mass, Amherst. Try
    reaching him at:
    Dept. of Industrial Engineering
    University of Massachusetts
    Amherst, MA 01003

    Phone # for the dept is: (413)545-2851
    (I believe that is the area code for Amherst)

    Good luck,
    Jeff Ives, PhD
    Dept Exercise Science
    Campbell University
    Buies Creek, NC 27506
    jives@camel.campbell.edu
    -------------------------------------------------------------------------

    From: HowieDBPG@aol.com

    Hi Dan: I would offer the following insite. As I understand this type of
    situation, the following will occur. When a subject is rearended, the head
    is rapidly extended on the cervical spine. As the neck flexor muscles are
    stretched, the spindle fibers and golgi tendon apparatus, sense this stretch
    and fire as a response. At that time, the head will now flex forward in
    response to the mechanics of the accident, precisely while the above
    "sensors" have begun to resist extension and therefore aid in the rapid
    flexion motion. This is probably why the does not need to be any true auto
    damage for the resultant injury to be real. BTW, it is my understanding that
    the drivers who do the rear ending are injured at a far less rate than those
    who become rear ended. Prehaps the above mechanism is responsible. A Dr.
    Thomas Dorman (MD) in San Luis Obispo, CA is currently working on this in a
    study and he may be able to provide more information for you. This is
    actually his concept and he can provide a good deal more of the particulars.
    Good luck.

    Howard J. Dannaberg,DPM
    howiedbpg@aol.com
    ---------------------------------------------------------------------
    From: mys@ip.chalmers.se (Mats Svensson)

    Dear Dr. Too,

    McConnell et al. (SAE paper no. 930889) carried out staged rear-end
    collisions with male volunteers seated in standard cars. From their results
    it appears that neck injuries could be induced at "delta-velocity" of the
    impacted vehicle of less than 8 km/h.
    Women are known to be twice as vulnerable as men in this impact situation.
    Thus, the threshold delta-velocity for induced neck injury can be expected
    to be significantly less than 8 km/h for women.
    The risk of neck injury in a rear-end impact does of course not have a
    simple relationship to delta-velocity, but the figures above give a hint of
    what may be possible.


    I will send a copy of my Ph.D. thesis to you;

    Svensson, M.Y. (1993):"Neck-Injuries in Rear-End Collisions - Sites and
    Biomechanical Causes of the Injuries, Test Methods and Preventive
    Measures". Chalmers University of Technology, G=F6teborg, Sweden, ISBN
    91-7032-878-1

    and a copy of a Ph.D. thesis of a colleague of mine, Gert Nilson;

    Nilson, G. (1994): "Effects of Seat and Seat-Belt Design on Occupant
    Response in Frontal and Rear Impacts". Chalmers Univ. of Techn., G=F6teborg,
    Sweden, ISBN 91-7197-031-2

    I think you will find some valuable references in those two books.


    Best regards

    Mats

    .________________________________________.
    | |
    | Mats Y. Svensson, Ph.D. |
    | Dept. of Injury Prevention |
    | Chalmers University of Technology |
    | S-412 96 Goteborg |
    | SWEDEN |
    | |
    | Phone: +46 31 772 3644 |
    | Fax: +46 31 772 3660 |
    | E-mail: mys@ip.chalmers.se |
    |________________________________________|

    -------------------------------------------------------------------------

    From: Terry Smith

    Hello Danny...
    Sounds like you have got a very interesting case on your hands! Since you are
    new to the expert witness field, I would advise you to use care and caution
    in what you do and what you say - there are many people who make it a full
    time career to act as expert witnesses in cases such as yours - these people
    have typically worked in the automotive industry or within the impact
    biomechanics spectrum of human motion. Consequently, they have a first hand
    understanding of low speed whiplash injury as a result of cadaver or human
    subject testing - and they have investigated HUNDREDS of auto accidents which
    allows them to quickly calculate delta v values for any collision
    configuration.
    As with other people who have asked for help along the net regarding an
    injury case, I would strongly urge you to remain within your own area of
    expertise - this may or may not be whiplash injury, I don't know. However, to
    remain credible to your clients and to a jury, you must have a thorough
    understanding of the research and of the issues involved - as with any
    biomechanical topic, there are good papers and bad papers, and certain key
    variables which will influence the outcome of any given accident. This type
    of knowledge does not come from a cursory glance at the existing research on
    a specific topic.
    But after all this, I don't want to scare you off - expert witness testimony
    and personal injury liability cases are very interesting in that each case is
    unique from an investigative point of view - nothing you can build a
    statistically significant sample from - but interesting nonetheless.
    As per your whiplash injury cases, I would recommend that you start looking
    at the STAPP car crash conference proceedings and get your hands on the
    Traffic Accident Investigation Manuals sold through the Northwestern
    University Traffic Institute, Evanston, Illinois. These are the BIBLES of
    Traffic Accident Reconstruction.
    Good Luck
    Terry Smith
    USC Head Protection Research Laboratory
    Los Angeles, California
    ---------------------------------------------------------------------

    From: jeff aitchison

    Hi Dan!
    Please don't quote me because I'm certainly no expert in this area.
    However, my supervisor (Dr. Romilly) and my co-supervisor (Dr. Hershler)
    have both done extensive research in this area. I don't know what side
    you will be working with but our research tends to support the victims.
    This is usually because the insurance companies have unreasonable
    criteria for whiplash claims to protect themselves (not unreasonably
    sometimes).
    I believe that Dr. R. and Dr. H. have published papers in this area and
    I know Dr. H. is often an expert witness in whiplash cases.

    You can contact Dr. Romilly at: romilly@mech.ubc.ca
    I'm not sure if Dr. Hershler has an email address. If he does it is:
    hershler@mech.ubc.ca

    Hope this helps out.

    Jeff Aitchison aitchiso@mech.ubc.ca
    Department of Mechanical Engineering
    University of British Columbia, Vancouver, Canada
    -------------------------------------------------------------------------

    From: "Richard C. Nelson"

    Danny: I suggest you contact the following person who is working as a fulltime
    expert witness and has served as an expert in a large number of auto accidents
    Mr. Jeffrey B. Wheeler, M.S. Biomechanics: Research & Consulting, 924 Weest
    wood Boulevard, Suite 860, Los Angeles, CA 90024, Tel: 310-443-5296, FAX: 310-
    443-5298. In recent years I have become increasingly involved as an expert wit
    ness in a variety of cases and have learned a great deal about the process,etc.
    I would be very willing to speak with you about becoming an expert witness
    and also can send you a variety of documents regarding my activities and the ro
    le of bioemchanists in this arena. Please feel free to call me at 814-865-3445
    Regards, Richard (Dick) Nelson
    Biomechanics Lab
    Penn State University
    e-mail RCN1@PSUVM.PSU.EDU
    ---------------------------------------------------------------------------

    From: "Amy C. Courtney"

    Hi,

    I read your post and would like to offer some information on
    existing experts in this field. I am not necessarily recommending
    their services, but the little contact I have had with them has
    made a good impression on me. The following is
    a small company that specializes in motor vehicle accident
    reconstruction. They may be willing to help you with some of
    your questions.

    Henry Lipian
    Introtech, Inc.
    Accident Reconstruction Services
    PO Box 718
    Columbia Station, OH 44028
    (216)748-3193 or (216)236-3702


    Best Wishes,

    Amy Courtney, Ph.D.
    Orthopaedic Biomechanics Lab
    Beth Israel Hospital and Harvard Medical School
    Boston, MA

    acc@bihobl2.bih.harvard.edu
    ---------------------------------------------------------------------------

    From: HowieDBPG@aol.com

    Hi Danny:

    Tom Dorman's address and phone follow:

    171 N. Santa Rosa St.
    San Luis Obispo, CA 43215-1322

    Phone: 805-781-3388
    fax: 805-544-3126

    Good luck.

    Regards:
    Howard
    -------------------------------------------------------------------------

    From: mys@ip.chalmers.se (Mats Svensson)

    Hi Danny,

    This is the reference,

    McConnell, W. E.; Howard, R. P.; Guzman, H. M.; Bomar, J. B.; Raddin, J H.;
    Benedict, J. V.; Smith, L. H.; Hatsell, C. P. (1993): Analysis of Human
    Test Subject Responses to Low Velocity Rear End Impacts. SP-975, SAE paper
    no. 930889, pp. 21-30, SAE Inc., ISBN 1-56091-360-6



    Best regards,

    Mats

    .________________________________________.
    | |
    | Mats Y. Svensson, Ph.D. |
    | Dept. of Injury Prevention |
    | Chalmers University of Technology |
    | S-412 96 Goteborg |
    | SWEDEN |
    | |
    | Phone: +46 31 772 3644 |
    | Fax: +46 31 772 3660 |
    | E-mail: mys@ip.chalmers.se |
    |________________________________________|


    ------------------------------------------------------------------------

    P.S.: For those who may be interested, the litigation involved a 31 year
    old female in a Toyota pickup truck (5999 pound) traveling 40 mph,
    and rear-ended by a water bottle truck (18,880 pounds) traveling at 50 mph.
    The medical report and x-rays confirmed a whiplash injury, after which
    she went through 5.5 months of medical treatment, followed by 6.5 months
    of physical therapy. She did not have medical insurance and initiated
    legal action to recoup her losses. The maximum amount that can be awarded
    for that case would be $25,000 and the amount determined by an arbritrator. I
    was asked by the plaintiffs attorney to determine whether the possibility
    of whiplash could have occurred.

    Danny Too

    ************************************************** ********************
    * *
    * Danny Too, Ph.D. Phone: (702)-895-4875 *
    * University of Nevada Las Vegas Fax: (702)-895-4231 *
    * 4505 Maryland Parkway E-mail: dtoo@nevada.edu *
    * Las Vegas, NV 89154-3034 *
    * *
    ************************************************** ********************
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